Annelle Glee Maygren, OD is a medicare enrolled "Optometrist" provider in Craig, Alaska. She went to Pacific University - College Of Optometry and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Southeast Alaska Regional Health Consortium and her current practice location is
333 Cold Storage Road, Craig, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 755-4967.
Annelle Glee Maygren is licensed to practice in Alaska (license number 297) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477556488.
Healthcare Provider's Profile
| Full Name | Annelle Glee Maygren |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 21 Years |
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| Location | 333 Cold Storage Road, Craig, Alaska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Annelle Glee Maygren attended and graduated from Pacific University - College Of Optometry in 2003
NPI Data:
- NPI Number: 1477556488
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688745805
- Enrollment ID: I20120710000689
Medical Identifiers
Medical identifiers for Annelle Glee Maygren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477556488 | NPI | - | NPPES |
| 1023212 | Medicaid | AK | |
| OPTT297 | Other | AK | STATE OF ALASKA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 12333T (California) | Secondary |
| 152W00000X | Optometrist | 2964T (Oregon) | Secondary |
| 152W00000X | Optometrist | 297 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Alaska Regional Health Consortium | 1456265362 | 263 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Annelle Glee Maygren allows following entities to bill medicare on her behalf.
| Provider Name | Southeast Alaska Regional Health Consortium |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annelle Glee Maygren is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Annelle Glee Maygren, OD
3100 Channel Dr Ste 300,
Juneau, AK 99801-7837
Ph: (907) 463-4074 | Annelle Glee Maygren, OD
333 Cold Storage Road,
Craig, AK 99921
Ph: (907) 755-4967 |
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